Neuropsychomotor development before and after open-heart surgery in infants

Arquivos de Neuro-Psiquiatria

Taís Sica Da Rocha²  Ana Guardiola¹  Jefferson Pedro Piva¹  Cláudia Pires Ricachinevski¹  Aldemir Nogueira¹ 

[1] ,Complexo Hospitalar Santa Casa de Porto Alegre Hospital da Criança Santo Antônio Porto Alegre RS ,Brazil

关键词: cardiac surgery;    developmental delay;    Denver II test;    cirurgia cardíaca;    atraso no desenvolvimento neurológico;    teste de Denver II;    cardiopatia congênita;   

DOI  :  10.1590/S0004-282X2009000300016

来源: SciELO

【 摘 要 】

There are few Brazilian studies on neuropsychomotor follow-up after open-heart surgery with circulatory bypass in infants. Twenthy infants had neurodevelopmental outcomes (neurological exam and Denver II test) assessed before open-heart surgery, after intensive care unit discharge and 3-6 months after hospital discharge. Heart lesions consisted of septal defects in 11 cases (55%). The mean circulatory bypass time was 67 ± 23.6 minutes. Fifteen infants had altered neurological examination and also neurodevelopment delay before surgery. After 6 months it was observed normalization in 6 infants. When Denver II test indexes were analysed, it was observed an improvement in all domains except personal-social. Although those infants were in risk of new neurological findings, an early improvement on neuropsychomotor indexes were seen.

【 授权许可】

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